Individual
MARY-ELIZABETH BRISCOE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMHC
Contact information
Practice address
10 ROUTE 2 WEST, DANVILLE, VT 05828
(802) 684-9703
Mailing address
460 UPPER HARRINGTON HL, WEST DANVILLE, VT 05873-4415
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0680000671
VT
101YM0800X
Mental Health Counselor
5208
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1012410
—
VT
05
—
30424410
—
NH
Enumeration date
02/28/2007
Last updated
07/08/2007
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